Individual
NICHOLE MARIE HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1150 FIRST AVE STE 511, KING OF PRUSSIA, PA 19406-1316
(888) 419-9355
Mailing address
1150 FIRST AVE STE 511, KING OF PRUSSIA, PA 19406-1316
(888) 419-9355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BSW000042
PA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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